摘要
目的探讨构思-设计-实现-运作(CDIO)教学模式联合巴林特小组干预在新护士规范化培训中的应用效果。方法采用前瞻性研究方法,选择2020年1月至2021年12月广东省第二中医院新入职的94名护士为研究对象,根据入职时间进行分组,将2020年1月至12月入职的46名新护士设为对照组[女38例,男8例;年龄(22.48±1.21)岁],进行常规培训;将2021年1月至12月入职的48名新护士设为观察组[女41例,男7例;年龄(22.25±1.19)岁],在对照组的基础上实施CDIO教学模式联合巴林特小组活动干预。比较两组新护士的核心能力、职业认同感及培训满意度。采用t检验、χ^(2)检验。结果培训后,观察组护士核心能力量表中的总评分[(173.58±10.67)分]、法律与伦理实践维度评分[(23.58±4.76)分]、人际关系维度评分[(26.42±2.53)分]、临床护理维度评分[(34.38±3.21)分]、专业发展维度评分[(19.42±2.05)分]、领导能力维度评分[(26.92±4.63)分]、批判性思维与科研维度评分[(23.85±3.50)分]、教育与咨询维度评分[(19.02±3.04)分],均高于对照组[(141.17±9.51)分、(18.35±5.04)分、(21.83±4.52)分、(28.17±5.36)分、(15.39±2.95)分、(22.89±5.84)分、(18.91±4.98)分、(15.63±3.61)分],差异均有统计学意义(t=15.526、5.179、6.109、6.841、7.713、3.711、5.581、4.931,均P<0.001)。培训后,观察组护士职业认同感量表中的总评分[(121.23±9.96)分]、职业社会支持维度评分[(23.96±3.60)分]、职业认知评价维度评分[(37.21±5.57)分]、职业自我反思维度评分[(12.02±1.42)分]、职业挫折应对维度评分[(24.23±5.42)分]、职业社交技能维度评分[(23.81±4.54)分],均高于对照组[(99.76±10.48)分、(19.87±4.91)分、(31.28±6.77)分、(9.5±2.35)分、(19.13±5.04)分、(19.98±4.78)分],差异均有统计学意义(t=10.182、4.619、4.644、6.314、4.720、3.991,均P<0.001)。培训后,观察组护士对培训的总满意度率为91.7%(44/48),高于对照组的76.1%(35/46),差异有统计学意义(χ^(2)=4.251,P=0.039)。结论CDIO教学模式联合巴林特小组干预可提高新护士的核心能力和职业认同感,新护士对培训方式和质量的满意度更高。
Objective To explore the application effect of Conceive-Design-Implement-Operate(CDIO)teaching mode combined with Balint group intervention in standardized training for new nurses.Methods A total of 94 new nurses in Guangdong Second Traditional Chinese Medicine Hospital from January 2020 to December 2021 were selected as the study subjects for a prospective study.They were divided into two groups according to the time of entry.The 46 new nurses who entered the hospital from January to December 2020 were set as the control group for routine training,including 38 females and 8 males,aged(22.48±1.21)years.The 48 new nurses who entered the hospital from January to December 2021 were set as the observation group for CDIO teaching mode combined with Balint group intervention based on the control group,including 41 females and 7 males,aged(22.25±1.19)years.The core competence,professional identity,and training satisfaction of the two groups were compared.t test andχ^(2) test were used.Results After training,the total score[(173.58±10.67)points]and the scores of legal and ethical practice dimension[(23.58±4.76)points],interpersonal relationship dimension[(26.42±2.53)points],clinical nursing dimension[(34.38±3.21)points],professional development dimension[(19.42±2.05)points],leadership dimension[(26.92±4.63)points],critical thinking and scientific research dimension[(23.85±3.50)points],educational consulting dimension[(19.02±3.04)points]of the Competency Inventory for Registered Nurses in the observation group were higher than those in the control group[(141.17±9.51)points,(18.35±5.04)points,(21.83±4.52)points,(28.17±5.36)points,(15.39±2.95)points,(22.89±5.84)points,(18.91±4.98)points,and(15.63±3.61)points],with statistically significant differences(t=15.526,5.179,6.109,6.841,7.713,3.711,5.581,and 4.931;all P<0.001).After training,the total score[(121.23±9.96)points]and the scores of occupational social support dimension[(23.96±3.60)points],occupational cognitive evaluation dimension[(37.21±5.57)points],occupational self-reflection dimension[(12.02±1.42)points],occupational frustration coping dimension[(24.23±5.42)points],and occupational social skill dimension[(23.81±4.54)points]of the Professional Identity Scale for Nurses in the observation group were higher than those in the control group[(99.76±10.48)points,(19.87±4.91)points,(31.28±6.77)points,(9.5±2.35)points,(19.13±5.04)points,and(19.98±4.78)points],with statistically significant differences(t=10.182,4.619,4.644,6.314,4.720,and 3.991;all P<0.001).After training,the overall satisfaction rate of the observation group with the training was 91.7%(44/48),higher than 76.1%(35/46)in the control group,with a statistically significant difference(χ^(2)=4.251,P=0.039).Conclusion CDIO teaching mode combined with Balint group intervention can improve the core competence and professional identity of new nurses,and new nurses are more satisfied with the training method and its quality.
作者
严金霞
杨依琴
寇丽霞
林健
杜炜
Yan Jinxia;Yang Yiqin;Kou Lixia;Lin Jian;Du Wei(Nursing Department,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510000,China;Spleen and Stomach Rheumatology Department,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510700,China)
出处
《国际医药卫生导报》
2023年第21期3103-3107,共5页
International Medicine and Health Guidance News
